Cupisti Kenko, Ramp Uwe, Raffel Andreas, Krausch Markus, Rehders Alexander, Knoefel Wolfram T
Department of General, Visceral and Pediatric Surgery, University Hospital, Heinrich-Heine-University of Düsseldorf, Germany.
World J Surg Oncol. 2008 Aug 11;6:82. doi: 10.1186/1477-7819-6-82.
The occurrence of skin metastases are rare events in the course of a follicular thyroid carcinoma (FTC) and usually indicate advanced tumor stages. The scalp is the most affected area of these metastases.
We present a case of a 76 year old Woman with multiple giant scalp metastases of a follicular carcinoma. These metastases had been resected and wounds had been closed with mesh graft. The 14-months follow up is presented.
We demonstrate another case with multicentric form. Because of its location and size a primary wound closure was not possible. A healing could be reached using vacuum therapy and mesh graft transplantation.
皮肤转移在滤泡状甲状腺癌（FTC）病程中是罕见事件，通常提示肿瘤处于晚期。头皮是这些转移最常累及的部位。
我们报告一例76岁女性，患有滤泡状癌多发巨大头皮转移。这些转移灶已切除，伤口用网状移植物闭合。现展示14个月的随访情况。
我们展示了另一例多中心形式的病例。由于其位置和大小，无法进行一期伤口闭合。通过负压治疗和网状移植物移植实现了愈合。
